Jeress T Pendleton
Jeress T Pendleton is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2021.
- Licensed in
- IL
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
3241 S Michigan AveChicago, IL 60616-4201
Phone: (312) 949-7000
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Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence 046011520 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1528635034 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 4, 2021 |
| Last updated in NPPES | June 11, 2021 |
| Certification date | June 11, 2021 |
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